Permit CITY OF TIGARD MASTER PERMIT
' 1 2 • COMMUNITY DEVELOPMENT Permit#: MST2014-00050
Tigard OR 97223 503.718.2439
13125 SW Hall Blvd.,Ti Date Issued: 04/22/2014
T[K ,�R 17 9
Parcel: 2S104CA00200
Jurisdiction: Tigard
Site address: 13447 SW ESSEX DR
Subdivision: HILLSHIRE Lot: 2
Project: Wiley
Project Description: Installation of solar photovoltaic system
BUILDING
Floor Areas Required Setbacks Required
Stories: 0 Bedrooms: 0 First: 0 sf Basement: 0 sf Left: 0 Parking Spaces: 0
Height: 0 Bathrooms: 0 Second 0 sf Garage: 0 sf Front: 0 Smoke
Dwelling Units: 0 Third 0 sf Right: 0 Detectors
Total 0 sf Value: $4,500.00 Rear: 0
PLUMBING
Sinks: 0 Water Closets: 0 Washing Mach: 0 Laundry Trays: 0 Rain Drain: 0 Urinals: 0
Lavatories: 0 Dishwashers: 0 Floor Drains: 0 Sewer Lines: 0 SF Rain Storm Sewer: 0
Tubs/Showers: 0 Garbage Disp: 0 Water Heaters: 0 Water Lines: 0 Drains: 0 Catch Basins 0
Bckflw Prevntr: 0
Footing Drain: 0 Ice Maker: 0 Hose Bib: 0 Backwater Value: 0
Drywell-Trench Drain: 0 Other Fixtures: 0
Other Fixture Units:
MECHANICAL
Fuel Types Air Conditioning: N Vent Fans: 0 Clothes Dryers: 0
Heat Pump: N Hoods: 0 Other Units: 0
Furn<100K: 0 Vents 0 Woodstoves: 0 Gas Outlets: 0
Furn>=100K: 0
ELECTRICAL
Residential Unit Service Feeder Temp Srvc/Feeders Branch Circuits
1000 sf or less: 0 0-200 amp: 1 0-200 amp: 0 W/Svc or Fdr 0
Ea add?500 sf: 0 201-400 amp: 0 201-400 amp: 0 W/O Svc/Fdr: 0
Mfd Home/Feeder/Svc: 0 401-600 amp: 0 401-600 amp: 0
601-1000 amp: 0 601+amp-1000v: 0
1000+amp/volt: 0
ELECTRICAL-RESTRICTED ENERGY
SF Residential
Audio&Stereo: N HVAC: N Security Alarm: N Vaccuum System: N Garage Opener N All
Other N Other Description: Ecompasing: N
BUILDING INFO
Class of Work: Type of Use: Type of Constr: Occupancy Group: Square Feet:
ALT SF VA R-3 0
Owner: Contractor:
WILEY,KIT&ILONA SOLARCITY CORPORATION I Required Items and Reports(Conditions)
13447 SW ESSEX DR 6132 NE 112TH AVE
TIGARD,OR 97223 PORTLAND,OR 97220
PHONE: 503-330-7994 PHONE: 971-201-5278
FAX: 866-592-2249
Total Fees: $329.38
This permit is issued subject to the regulations contained in the Tigard Municipal Code, State of OR. Specialty Codes and all other applicable law. All work will
be done in accordance with approved plans. This permit will expire if work is not started within 180 days of issuance, or if work is suspended for more the 180
days. ATTENTION: Oregon law requires you to follow the rules adopted by the Oregon Utility Notification Center. Those rules are set forth in OAR
952-001-0010 through OAR 952-001-0090. You may obtain a co. • - • -. •r direct questions to OUNC by calling 503.232.1987 or 1.800.332.2344.
Issued By:4/.411..166■.a., <--- Permittee Signature: g.5 L (1.
C • 9.4175 by 7:00 a.m.for the next available inspection date. /
This permit card shall be kept in a conspicuous place on the job site until completion of the project.
Approved plans are required on the job site at the time of each inspection.
Building Permit Atml'
Residential LACI VEU 1 ,,1, ( ,111( 1 1 ,1 , o.I
City of Tigard RD Le °d Prm„t w,.:
13125,SW Hail Blvd.,Tigard,OA 4 2014 PD"� �����, �/f •
t.. Phone: 503.718.2439 Fax: pats. :/rir n a I I. Oho'Pawn:
Inspection Line: 503.639.41 IGARD Date R.. ,": : Jura: B See Page 2 far
Internet: tigard-or.g�UILDING tW I tOP t : ��; `8i SHppleneaW htar�aNaa
TYPE OF WORK j ,(J REQUIRED KIATA:1-AND 9-FAMILY DWELLING
❑New construction ❑Demolition Permit fees*are based on the value of the work performed. 8
Indicate the value(rounded to the nearest dollar)of all
®Addition/alteration/replacement ❑Other: equipment,materials,labor,overhead,and the profit for the ^
CATEGORY OF C UCI7lON work indicated on this application. ^\�+
® I-and 2-family dwelling ❑CommerciaUndustrial Valuation: S 4500
ID Accessory building ❑Multi-family Number of bedrooms: 4
❑Master builder ❑Other Number of bathrooms:
JOB SITE INFORMATION AND LOCATION Total number of floors:
Job site address: 13447 SW Essex Dr New dwelling area: square feet •
City/State/ZIP: Tigard OR 97223 Garage/carport area: square feet
Suite/bldg./apt.no.: I Project name: Wiley, Kit Covered porch area: square feet
4
Cross streeUdirections to job site: Deck area: square feet
Other structure area: square feet
REQUIRED DATA:COMMERCIAL-USE CHECKLETI{
Subdivision: I Lot no.: Permit fees*are based on the value of the work performed.
Indicate the value(rounded to the nearest dollar)of all '
Tax map/parcel no.: equipment,materials,labor,overhead,and the profit for the
DESCRIPTION OF WORK work indicated on this application. L
PV ROOF MOUNT 4.5 KW Valuation: S
Existing building area: square feet C
New building area: square feet
® PROPERTY OWNER I ❑ 'TENANT Number of stories:
-E)Name: Wiley, Kit Type of construction:
Address: 13447 SW Essex Dr Occupancy groups:
City/State/ZIP: Tigard OR 97223 Existing:
Phone:( 503) 330 7994 Fax:( ) '
® APPLiCANT 0 CONTACT PERSON BUILDING PERMIT FEES"
Business name:SOLAR CITY
IlLrrsrtdMartiaessAerieyd
Structural plan review fee(or deposit):
Contact name:MELISSA BENTLEY
112TH FLS plan review fee(if applicable):
Address:6132 NE 112 AVE
City/State/ZIP:PORTLAND OR 97220
Total fees due upon application:
Phone:(503)894 6903 I Fax::(1866)445-7459
Amount received:
E-mail:A BENTLEY*SOLARCITY.COM PHOTOVOLTAIC SOLAR PANEL SYSTEM FEES*
CONTRACTOR Commercial and residential prescriptive installation of
roof-top mounted Photo Voltaic Solar Panel System. ,..-
Business name:SOLAR CITY Submit two(2)sets of roof plan with connection details VI
Address:6132 NE 112TH AVE and fire department access,along with the 2010 Oregon
t4
Solar Installation Specially Code checklist.
City/State/ZIP:PORTLAND OR 97220 Permit Fee(includes plan review $180.00
and administrative fees):
Phone:(503)894-6903 I Fax:(1866)445_7459 State surcharge(12%of permit fee): $21.60 ..
CCB lic.: 180498
Total fee due upon application: n 0 5201.6
Authorized signature: This permit application expires if a permit is obtained -'
within 180 days after it has been accepted as complete.
Print name:A. MELISSA TLE J Date: 04/09/2014 I *Fee methodology set by Tri-County Building Industry
Sery Board.
I:1BuildingWennitsSBUP-RESPermitApp.doc 02/24/2011 440-46131(1 l/02/COM/WEB)
Building Permit Application Checklist
One- and Two-Family Dwelling roit orFlr f t'1/4:i; oNLy
City of Tigard Receives
Illq Darel[ty; Permit No.:
- 13 125 SW W I kill Blvd.,Tigard,OR 97223 Associated pennies-
V Phone: 503.718.2439 Fax: 503.598.1960
I Ik.;'11:1)
24-Hour Inspection Line: 503.639.4175 ❑ Ekctrical ❑ Plumbing LI Mechanical
Internet: www.tigard-or.gov ❑ other
THE HOLI () \ iNCC ITEMS .\Ill.. RFQL!IRED FOR PLAN REVIEW )cs no Nra
I Land use actions completed. Sec jurisdiction criteria for concurrent reviews. [] ❑ •
2 Zoning. Flood plain,solar balance points,seismic soils designation,historic district.etc. _ `❑ ❑ ❑
3 Verification of approved plat/lot. 0 ❑ _ E]
4 Fire district approval required. Name of district: li~ ❑ D
5 Septic system permit or authorization for remodel. Existing system capacity ❑ ❑ 0
6 Sewer permit 0 ❑ ' U
7 Water district approval. El 0 ❑
8 Soils report. Must carry original applicable stamp and signature on file or with application. []
9 Erosion control 0 plan ❑permit required. Include drainage-way protection,silt fence design and location of catch- ❑ ❑
basin protection,etc_
10 3 Complete sets of legible plans. Must he drawn to scale.showing conformance to applicable local and state ❑ ❑ ❑
building codes. Lateral design details and connections must be incorporated into the plans or on a separate full-size
shed attached to the plans with cross references between plan location and details. Plan review cannot be completed if
copyright violations exist.
I Site/plot plan drawn to scale. The plan must show lot and building setback dimensions:property corner elevations(if ❑ ❑ ❑
there is more than a 4-fl.elevation differential,plan must show contour lines at 2-ft.intervals);location of casements
and driveway; footprint of structure(including decks):location of wells/septic systems;utility locations:direction 1
indicator:lot arca;building coverage area;percentage of coverage;impervious area;existing structures on site;and
surface drainage.
12 Foundation plan. Show dimensions,anchor bolts,any hold-downs and reinforcing pads,connection details,vent size ❑ ❑ in
and location.
13 Floor plans. Show all dimensions,room identification,window size,location of smoke detectors,water heater, El 0
furnace,ventilation fans,plumbing fixtures,balconies and decks 30 inches above grade,etc.
14 Cross section(s)and details. Show all framing-member sizes and spacing such as floor beams,headers,joists,sub- ❑ —❑ ❑
floor,wall construction,roof construction. More than one cros section may he required to clearly portray
construction. Show details of all wall and roof sheathing,rooting_roof slope,ceiling height,siding material.footings
and foundation,stairs,fireplace construction,thermal insulation.etc.
15 Elevation views. Provide elevations for new construction;minimum of two elevations for additions and remodels. ❑ ❑ ❑
Exterior elevations must reflect the actual grade if the change in grade is greater than four foot at building envelope.
Full-size sheet addendums showing foundation elevations with cross references are acceptable. _
16 Wall bracing(prescriptive path)and/or lateral analysis plans. Must indicate details and locations; for non- ❑ ❑
prescriptive path analysisprovide specifications and calculations to engineering standards.
17 Floor/roof framing. Provide plans for all floors/roof assemblies,indicating member sizing.spacing,and bearing ❑ ❑ ❑
locations. Show attic ventilation.
t8 Basement and retaining walls. Provide cross sections and details showing placement of rebar. For engineered ❑ ❑ ❑
systems,see item 22.E'ngineer's calculations."
19 Beans calculations. Provide two sets ol'calculations using current code design values for all beams and multiple joists ❑ El El
over 10 feet long and/or any beam/joist carry a non-uniform load.
20 Manufactured floor/roof truss design details. E 21 Energy Code compliance. Identify the prescriptive path or provide calculations. A gas-piping schematic is required El
for four or more appliances.
22 Engineer's calculations. When required or provided,(i.e..shear wall,root'truss)shall be stamped by an engineer or ❑ ❑ ❑
architect licensed in Ore on and shall be shown to be a licable to the ro'ect under review.
23 Three(3)site plans are required for Item 11 above. Site plans must be 8-1/2"x 1 I"or II'x 17". ❑ ❑
24 Two(2)sets each are required for Items 16, 19,20 and 22 above. 0 ❑ 0
25 Building plans shall not contain red lines or tape-ons. "Mirrored"building plans will not be accepted. ❑ n ❑
26 "Reversed"building plans must meet criteria outlined in the Permit&System Development fees document. ❑ ❑ ❑
27 "Drawn to scale"indicates standard architect or engineer scale. ❑ ❑ ❑
28 Site plan to include tree size,type and location per approved project street tree plan(if applicable),and City of Tigard U Li ❑�
Street Tree list.
29 Site plan to include trees and tree protection measures as required by conditions of approval. Tree locations,driplines, ❑ ❑ ❑
and protection measures must be drawn to scale and must include the project arborist's signature of approval.
30 A Clean Water Services'Sensitive Area Pre-Screening Site Assessment form is required for all building additions, ❑ ❑ ❑
including decks,patio covers(over non-impervious surface)and acces.sory structures to existing residential dwellings
on a lot of record approved prior to September 9. 1995.
l:1131ilding\Pcrmils\BUP-RESPennitApp.doc 02124/2011 440-4613T(I 1/02/COM/WER)
-Elkcfrical Permit Appliclit CEI� ,. 1
City of Tigard
D i ��
13125 SW Hall Blvd_,Tigard,OR 9 � �� ��
Phone: 503.718.2439 Fax: 503.5901 4 2014 Other Permit:
Inspection Line: 503.639.4175 C�TYOF�� Date Ready/By: kris R See Page 2 far
Internet: www.tigard or.gov CARD NotifiedlMelhod: Supplemental lufennatfo.
n14341110111RWMIntiP PLAN REVIEW
❑New construction ®Addition/alteration/replacement Please check all that apply(submit!sets of plants w/items checked below):
❑Demolition ❑Other: ❑Service or feeder 400 amps or more ❑Building over thine stories.
where the available fault current ❑Marinas and boatyards.
CAGY OF CON31ItUCPION exceeds 10,000 amps at 150 volts or ❑Floating buildings.
® 1-and 2-family dwelling ❑Commercial/industrial ❑Accesso buildin am to ground,
of a exceeds o s. ❑Commercial-use agricultnnl
ry g amps for all other installations. buildings.
❑Multi-family ❑Master builder ❑Other: ❑Fire pump. ❑Installation of 150 K VA or
JOB Sf 7 C INFORMATION AND LOCATION ❑Emergency system. larger separately derived system.
❑Addition of new motor load of ❑"A","E-,"1-2-"1-3"
Job no.: Job site address: I00HP or more. occupancy.
9721916 I 13447 SW Essex Dr ❑Six or more residential units. ❑Recreational vehicle parks.
City/State/ZIP: Tigard OR 97223 ❑El Hazaardous locations ❑6�v Supply nom nal more 1h"'
Suite/bldg./apt.no.: I Project name: Wiley, Kit ❑Service orfeeder 600 amps ormore.
FEE SCHEDULE
Cross street/directions to job site: Comerl.nee I Qas. I Fee. I Teal 1 •
New residential single-or multi-family dwelling unit.
Includes attached garage.
Subdivision: I Lot no.: 1.000 sq.R.or less 168.54 4
Fa add'l 500 sq.ft or portion 33.92 1
Tax map/parcel no.: Limited energy.residential
75.00 2
DESCRIPTION OF WORK (with above sq.11.)
PV ROOF MOUNT Limited energy.multi-family
4.5KW residential(with above sq n.) 7100 2
Renewable Energy See Page 2
Services or feeders installation,alteration,and/or relocation
® PROPERTY OWNER I o TENANT 200 amps or less 100.70 2
Nettle. - 201 amps to 400 amps 133.56 2
Wiley, Kit 401 amps to 600 amps 200.34 2
Address: .13447 SW Essex Dr 601 amps to 1,000 amps 301.04 2
Over 1.000 amps or volts 552.26 2
City/State/ZIP: Tigard OR 97223 Temporary services or feeders installation,alteration,and/or
Phone:( 503 ) 330 7994 I Fax:( ) relocation
200 amps or less 59.36 I
Owner Installation:This installation is being made on property that I own which is not 201 amps to 400 amps 125.08 2
intended for sale,lease,rent,or exchange,according to ORS 447,449,670,and 701. 401 amps to 599 amps 168.54 2
Owner signature: Date: Branch circuits-new,alteration,or ex tension,per panel
® APPLICANT I ® CONTACT )SON A.Fee for branch circuits with
above service or feeder fee. 7.42 2
Business name:SOLAR CITY each branch circuit
B.Fee for branch circuits without
Contact name:MELISSA BENTLEY service or feeder fee.first 56.18 2
branch circuit
Address:6132 NE 112"AVE Each add'I branch circuit 7.42 2
City/State/ZIP:PORTLAND OR 97220 Miscellaneous(service or feeder not included)
Each manufactured or modular 67 84 2
Phone:(503)894-6903 1 Fax::(1866)445-7459 dwelling,service and/or feeder
Recomect only 67.84 2
E-mail:ABENTLEY @SOLARC1TY.COM Pump or irrigation circle 67.84 2
CONTRACTOR Sign or outline lighting 67.84 2
Business name:SOLAR CITY Signal circuit(s)or limited-energy See
alteration, rte son. Page 2 2
Address:6132 N E 11270 AVE
panel,h dditon. n sptctlion over allowable in
any of the above
City/State/ZIP:PORTLAND OR 97220 Additional inspection(I hr min) 66.25/hr
Investigation(I hr min) 66.25/hr
Phone:(503)894-6903 I Fax:(188)445-7459 Industrial plant(1 hr min) 78.18/hr
Inspections for which no fee is
CCB Lic.: 180498 Electrical Lie.: C562 I Suprv.Lie.: 5201S specifically listed(Y:hr min) 90.00/hr
ELECTRICAL PERMIT PIER
Suprv.Electrician signature,required: _ Subtotal:
Print name: DEREK CROPP J , Date: 04/09/14 Plan review(25%of permit fee):
// _ State surcharge(12%of permit fee):
Authorized signature: ' [ TOTAL PERMIT FEE:
11 q /09/14 wit application expires N a permit h not obtained with&180
Print flame: A. MELI A : 141 I Dec:ate:
days after It has been accepted as complete.
• Number of iaspedian allowed per permit.
1.1Buildig\Permiu1E7.C_PernoApp_ELR EREdoe Re.,OS/21/2013 440-46151(11/05/COMIWEB
Electrical Permit Application—City of Tigard
Page 2—Supplemental Information
Limited Energy Permit Fees: Renewable Energy Permit Fees:
tlkatdottea
Fee for all residential systems combined........ 575.00 I'qty. I Pee � � (--
Renewahie electrical energy systems:
Check Type of Work Involved: s kva mien 1 100.70 2
5.01 to 15 kvn 133.56 2
❑ Audio and Stereo Systems*
15.01 tots kva 200.34 2
Burglar Alarm Wind generation systems hi excess or 25 kva:
25.01 to 50 kva 301.04 3
I I Garage Door Opener* 50.01 to 100 kva 552.26 2
>100 kva(fee in accordance with 53226 3
111 Heating, Ventilation and Air Conditioning OAR 918-309-0040)
System* Solar generation systems In excess of 25 kva:
Each additional kva over 25 7.42 3
❑ Vacuum Systems* >100 kva noaddiunnalcharge 0.0 3
❑ Each additional inspection over allowable in any of the above:
Other: Each additional inspection is
charged at an hourly(1 IT min) 25/hr
Inspections for which no fee is
90.00!hy
specifically listed(ii hr min?
': ':.`.�•`.:�:; �~:. ;`:::•;•.:::��'�'`. tom{,;' IE�M�':�
Fee for each commercial system $75.00 Subtotal:
(SEE OAR 918-309-0000) Plan review,if required(25%of permit fee):
Stale surcharge(12%of permit fix):
Check Type of Work Involved: TOTAL PERMIT PEE:
This permit applicarien expires if a(smith Is not obtained within ISO
❑ Audio and Stereo Systems dale after it has beta steepled as coeeplete.
• Number of Inspections allowed per permit.
❑ Boiler Controls
❑ Clock Systems
❑ Data Telecommunication Installation
❑ Fire Alarm Installation
❑ HVAC
❑ Instrumentation
n intercom and Paging Systems
❑ Landscape Irrigation Control*
❑ Medical
❑ Nurse Calls
n Outdoor Landscape Lighting*
❑ Protective Signaling
❑ Other
Total number of commercial systems:
*No licenses are required. Licenses are required
for all other installations
t Nh,IWingp.,niiti ELC_rc.menpp_L•La_Far doe atr n5/21/2nu
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13447 SW ESSEX DR, TIGARD, OR, 97223
Residential - Master Permit
199 Electrical final
PASS
May 6, 2014 at 8:49:57 AM
MST2014-00050
Jeff Grove
Violation Summary:
Inspector Contractor
Location:
Record Type:
Inspection Type:
Result:
Comments:
Inspection Date:
Record ID:
Inspector:
City of Tigard
13125 SW Hal Blvd.
Tigard, OR 97223 Tel: 503.718.2439
13447 SW ESSEX DR, TIGARD, OR, 97223
Residential - Master Permit
299 Final inspection
PASS - No C of O
May 6, 2014 at 8:50:44 AM
MST2014-00050
Jeff Grove
Violation Summary:
Inspector Contractor